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Team communication patterns in emergency resuscitation: a mixed methods qualitative analysis

BACKGROUND: In order to enhance patient safety during resuscitation of critically ill patients, we need to optimize team communication and enhance team situational awareness but little is known about resuscitation team communication patterns. The objective of this study is to understand how teams co...

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Autores principales: Calder, Lisa Anne, Mastoras, George, Rahimpour, Mitra, Sohmer, Benjamin, Weitzman, Brian, Cwinn, A. Adam, Hobin, Tara, Parush, Avi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5509566/
https://www.ncbi.nlm.nih.gov/pubmed/28707273
http://dx.doi.org/10.1186/s12245-017-0149-4
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author Calder, Lisa Anne
Mastoras, George
Rahimpour, Mitra
Sohmer, Benjamin
Weitzman, Brian
Cwinn, A. Adam
Hobin, Tara
Parush, Avi
author_facet Calder, Lisa Anne
Mastoras, George
Rahimpour, Mitra
Sohmer, Benjamin
Weitzman, Brian
Cwinn, A. Adam
Hobin, Tara
Parush, Avi
author_sort Calder, Lisa Anne
collection PubMed
description BACKGROUND: In order to enhance patient safety during resuscitation of critically ill patients, we need to optimize team communication and enhance team situational awareness but little is known about resuscitation team communication patterns. The objective of this study is to understand how teams communicate during resuscitation; specifically to assess for a shared mental model (organized understanding of a team’s relationships) and information needs. METHODS: We triangulated 3 methods to evaluate resuscitation team communication at a tertiary care academic trauma center: (1) interviews; (2) simulated resuscitation observations; (3) live resuscitation observations. We interviewed 18 resuscitation team members about shared mental models, roles and goals of team members and procedural expectations. We observed 30 simulated resuscitation video recordings and documented the timing, source and destination of communication and the information category. We observed 12 live resuscitations in the emergency department and recorded baseline characteristics of the type of resuscitations, nature of teams present and type and content of information exchanges. The data were analyzed using a qualitative communication analysis method. RESULTS: We found that resuscitation team members described a shared mental model. Respondents understood the roles and goals of each team member in order to provide rapid, efficient and life-saving care with an overall need for situational awareness. The information flow described in the interviews was reflected during the simulated and live resuscitations with the most responsible physician and charting nurse being central to team communication. We consolidated communicated information into six categories: (1) time; (2) patient status; (3) patient history; (4) interventions; (5) assistance and consultations; 6) team members present. CONCLUSIONS: Resuscitation team members expressed a shared mental model and prioritized situational awareness. Our findings support a need for cognitive aids to enhance team communication during resuscitations. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12245-017-0149-4) contains supplementary material, which is available to authorized users.
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spelling pubmed-55095662017-07-31 Team communication patterns in emergency resuscitation: a mixed methods qualitative analysis Calder, Lisa Anne Mastoras, George Rahimpour, Mitra Sohmer, Benjamin Weitzman, Brian Cwinn, A. Adam Hobin, Tara Parush, Avi Int J Emerg Med Original Research BACKGROUND: In order to enhance patient safety during resuscitation of critically ill patients, we need to optimize team communication and enhance team situational awareness but little is known about resuscitation team communication patterns. The objective of this study is to understand how teams communicate during resuscitation; specifically to assess for a shared mental model (organized understanding of a team’s relationships) and information needs. METHODS: We triangulated 3 methods to evaluate resuscitation team communication at a tertiary care academic trauma center: (1) interviews; (2) simulated resuscitation observations; (3) live resuscitation observations. We interviewed 18 resuscitation team members about shared mental models, roles and goals of team members and procedural expectations. We observed 30 simulated resuscitation video recordings and documented the timing, source and destination of communication and the information category. We observed 12 live resuscitations in the emergency department and recorded baseline characteristics of the type of resuscitations, nature of teams present and type and content of information exchanges. The data were analyzed using a qualitative communication analysis method. RESULTS: We found that resuscitation team members described a shared mental model. Respondents understood the roles and goals of each team member in order to provide rapid, efficient and life-saving care with an overall need for situational awareness. The information flow described in the interviews was reflected during the simulated and live resuscitations with the most responsible physician and charting nurse being central to team communication. We consolidated communicated information into six categories: (1) time; (2) patient status; (3) patient history; (4) interventions; (5) assistance and consultations; 6) team members present. CONCLUSIONS: Resuscitation team members expressed a shared mental model and prioritized situational awareness. Our findings support a need for cognitive aids to enhance team communication during resuscitations. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12245-017-0149-4) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2017-07-14 /pmc/articles/PMC5509566/ /pubmed/28707273 http://dx.doi.org/10.1186/s12245-017-0149-4 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Research
Calder, Lisa Anne
Mastoras, George
Rahimpour, Mitra
Sohmer, Benjamin
Weitzman, Brian
Cwinn, A. Adam
Hobin, Tara
Parush, Avi
Team communication patterns in emergency resuscitation: a mixed methods qualitative analysis
title Team communication patterns in emergency resuscitation: a mixed methods qualitative analysis
title_full Team communication patterns in emergency resuscitation: a mixed methods qualitative analysis
title_fullStr Team communication patterns in emergency resuscitation: a mixed methods qualitative analysis
title_full_unstemmed Team communication patterns in emergency resuscitation: a mixed methods qualitative analysis
title_short Team communication patterns in emergency resuscitation: a mixed methods qualitative analysis
title_sort team communication patterns in emergency resuscitation: a mixed methods qualitative analysis
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5509566/
https://www.ncbi.nlm.nih.gov/pubmed/28707273
http://dx.doi.org/10.1186/s12245-017-0149-4
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